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Medical Director - Assistant Vice President, Group Insurance
Sun Life Financial
Scarborough, ME, United States
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Lead Sun Life's U.S. Group and Voluntary Claims Medical Strategy, providing leadership and medical expertise to develop and execute on industry leading capabilities and practices in the Disability, Absence, Life and Worksite claims arena.
RESPONSIBILITIES
• Develop Sun Life’s Claims Medical Strategy, working closely with the AVP of Clinical Services, to enhance return to work outcomes, claims management effectiveness, and service excellence objectives.
• Oversee vendor and internal/contracted physician practices and quality
• Review clinical records on complex group disability and Life claims and communicate with providers and other parties to facilitate the clinical aspects of the benefits determination process
• Advance Sun Life's "WisH" ("Work Is Healthy") philosophy through accurate assessment of functionality, work capacity, and application of innovative return to work strategies.
• Develop impairment based protocols and STD duration management guidelines and tools.
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QUALIFICATIONS
• MD or DO plus Board certification in related specialty field (PM&R, Occ Med, Internal Medicine) and appropriate current medical licensures
• Understanding of corporate health and productivity and employee wellness principles and practices
• 5+ years of direct patient care plus experience in a business setting
• Collaborative and comfortable navigating in cross functional organizations with matrixed accountabilities.
• Excellent communication (oral and written) and public speaking skills, especially in client meetings and industry conferences. Ability to convey complex medical concepts to claims analysts.
• Ability to travel moderately (<25%) to support client and business meetings.
• Sun Life Financial (U.S.) Services Company, Inc. is a federal contractor subject to Executive Order 11246, Section 4212 of the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended, and Section 503 of the Rehabilitation Act of 1973, as amended. As such the company is committed to taking positive steps to implement the employment-related aspects of the company’s equal employment opportunity policy. It is the company’s policy to take affirmative action to employ, advance in employment, and otherwise treat qualified minorities, females, protected veterans, and individuals with disabilities without regard to their race/ethnicity, sex, veteran status, or disability.
• Pursuant to 41 CFR §§ 60-300.44(f)(1)(ii) and 741.44(f)(1)(ii), we hereby notify you of our company policy related to our affirmative action efforts and request appropriate action on your part.
• Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter – for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more
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